1. Bristol Health Serviecs Plan V.1 Bristol Health Services Plan – Core Presentation – v.1.1

2. Bristol Health Serviecs Plan V.1 The fundamental issues Keeping people out of hospital wherever possible (by providing as much care as is possible close to home) Giving people who do need to be in hospital the best possible care (by concentrating acute services on a reduced number of major sites)

3. Bristol Health Serviecs Plan V.1 Bristol Health Services Plan – Core Presentation – v.1.1 Why we need to change To improve quality of care To move services closer to people’s homes and reduce travelling time for patients and carers To bring together specialist hospital services, both expertise and equipment To improve the quality of our old hospital buildings

4. Bristol Health Serviecs Plan V.1 Engagement, Proposals and Consultation

5. Bristol Health Serviecs Plan V.1 Themes from the engagement process The importance of access (including the need to provide services in local settings wherever possible) The need to make good use of public money The importance of clinical quality A concern about capacity A strong desire to see improved community facilities in place before a new hospital

6. Bristol Health Serviecs Plan V.1 Proposals within BHSP Acute/ Emergency Services in the north - options Community Services – North Bristol Community Services – South Gloucestershire Children’s Services Blackberry Hill Hospital Cossham Hospital Breast, Adult Ear, Nose & Throat Surgery (South Bristol Community Hospital)

7. Bristol Health Serviecs Plan V.1 What happens next? Formal Consultation ended 10 th December 2004 Consultation Report to Joint Health Scrutiny Committee – 21 January 2005 Joint Health Scrutiny Committee report to NHS – 22 February 2005 Decisions by NHS Bodies – March 2005 Bristol Health Services Plan – Core Presentation – v.1.1

8. Bristol Health Serviecs Plan V.1 The Options for Acute Services in North Bristol & South Gloucestershire

9. Bristol Health Serviecs Plan V.1 Major Acute Services Serving Bristol, South Gloucestershire & North Somerset United Bristol Healthcare NHS Trust Frenchay Hospital Southmead Hospital Weston General Hospital

10. Bristol Health Serviecs Plan V.1 Option 1 Maintain both Frenchay and Southmead as acute hospitals

11. Bristol Health Serviecs Plan V.1 Option 2 Provide a new acute hospital, together with a community hospital on the Southmead site Provide a community hospital on the Frenchay site

12. Bristol Health Serviecs Plan V.1 Option 3 Provide a new acute hospital, together with a community hospital on the Frenchay site Provide a community hospital on the Southmead site

13. Bristol Health Serviecs Plan V.1 Why keep the two acute hospital model? Because we were asked to consider doing so throughout the engagement process Because it represents the ‘do minimum’ option But the view of the health community is that to do so would compromise healthcare for Bristol

14. Bristol Health Serviecs Plan V.1 Why change to one acute hospital? Because there is a wealth of evidence that if people really do need to be in hospital, the greater the integration of clinical specialities and the greater the concentration of expertise and equipment, the better is the outcome

15. Bristol Health Serviecs Plan V.1 Frenchay or Southmead? Check each option against questions: Quality of care Development of community services Recruitment of specialist staff Recruitment of general staff Travel times for patients and staff

16. Bristol Health Serviecs Plan V.1 Frenchay or Southmead? And… Impact on local communities Effect on environment/buildings How quickly up and running How flexible Good value for money

17. Bristol Health Serviecs Plan V.1 North Somerset

18. Bristol Health Serviecs Plan V.1 North Somerset & BHSP North Somerset Cluster Board Commissioning Strategy Service Redesign / service development teams Partnership Public Involvement

19. Bristol Health Serviecs Plan V.1 Supporting the BHSP Expansion of services at Weston General Hospital – different ways of working Redevelopment of Clevedon Community Hospital Portishead Primary Care based services Community Services

20. Bristol Health Serviecs Plan V.1 Bristol Health Services Plan – Core Presentation – v.1.1